Image in medicine
Hyperkeratotic buttocks plaques and generalized pruritus in an AIDS patient
Placas hiperqueratósicas en nalgas y prurito generalizado en un paciente con infección por el VIH
Ángeles Arnandis Muñoz
, Fernando Millán Parrilla
Corresponding author
Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, Spain
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The patient presented with a 3-month history of generalized pruritic lesions with poor response to topical corticosteroids and oral antihistamines. The patient's mother also had pruritus with scratching-induced skin lesions. Physical examination showed gluteal hyperkeratotic fissured plaques (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and pruritic linear papular lesions along with scratch-induced lesions in trunk, popliteal fossa, arms, wrists and back of the hands. To confirm the diagnosis, gluteal lesion scales were sampled for direct vision through a microscope using 10% potassium hydroxide (KOH). The patient was diagnosed with Norwegian scabies after the detection of several adult parasites (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Treatment with 200<span class="elsevierStyleHsp" style=""></span>μg/kg of oral ivermectin was prescribed, repeating the treatment after a week together with topical permethrin 5% cream followed by a second application one week later. In addition, keratolytic treatment with salicylic acid 5% cream was also prescribed. The gluteal keratotic lesions, generalized papules and the intense pruritus experienced by the patient at the start of the condition had significantly improved after one week.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Arnandis Muñoz Á, Millán Parrilla F. Placas hiperqueratósicas en nalgas y prurito generalizado en un paciente con infección por el VIH. 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